| PHIN Variable ID |
Data Element Name |
Data Element Description |
|
| VAC101 |
Vaccine administered product type |
Indicates which product (vaccine) was administered
|
|
| VAC103 |
Vaccine administered date |
Indicates the date that the vaccine was administered.
|
|
| VAC120 |
Vaccine dose number |
Indicates the dose number in series
|
|
| VAC107 |
Vaccine product manufacturer |
Indicates the company which manufactured the vaccine |
|
| VAC108 |
Vaccine Lot Number |
Indicates the lot number for the vaccine administered |
|
| VAC109 |
Vaccine Lot Expiration Date |
Indicates the expiry date for the vaccine administered |
|
| 48766-0 |
Vaccine Event information source |
Indicates whether the vaccine was administered by the provider organization recording the immunization or obtained from a historical record |
|
| 59779-9 |
Immunization Schedule used |
Identifies the schedule used for immunization evaluation and forecast. |
|
| 71798-3 |
Exemption/refusal reason |
Indicates the reason the patient is either exempt from the immunization or refuses the immunization |
|
| VAC153 (proposed) |
National Drug Code (NDC) |
NDC from the vaccine's bar code can be used to obtain vaccine brand name and manufacturer |
|
| VAC102 (proposed) |
Vaccination Record Identifier |
Vaccination record identifier |
|
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